It is common for clinicians to face ethical dilemmas in practice. While there are some major ethical obstacles you may encounter from time-to-time, it is more likely you will encounter more minor ethical issues more frequently. The challenge with “minor” ethical issues is they can quickly become a big problem if not handled appropriately. Select ethical dilemma and then describe how you would use an ethical decision-making model, such as the ones discussed in your readings or another professionally adopted ethical decision-making model, in the situation you choose.
Selected ethical dilemma:
• One of your friends knows that you've recently been licensed. He and his husband have been having some relationship challenges lately, and he asks if you could be their couples therapist. He says you are the only one they can trust. Do you see your friend and his husband?
The Ethical Dilemma of Providing Therapy to Friends: A Moral and Professional Perspective
In the field of clinical practice, ethical dilemmas are not uncommon occurrences. While some ethical challenges may be more prominent and recognizable, clinicians are more likely to face minor ethical issues on a regular basis. These seemingly minor dilemmas can potentially escalate into significant problems if not addressed with care and adherence to ethical principles. One such dilemma that clinicians may encounter is being asked to provide therapy to close friends or acquaintances. This scenario raises questions about professional boundaries, dual relationships, and the ethical responsibilities of a therapist.
The Ethical Dilemma
Imagine being a newly licensed therapist and having a close friend approach you for couples therapy with their spouse. Your friend expresses that they trust only you to help them navigate through their relationship challenges. As a clinician, you are faced with the dilemma of balancing your personal relationship with your friend and the professional responsibilities and ethical guidelines that govern your practice.
Using an Ethical Decision-Making Model
When confronted with such a complex ethical dilemma, it is essential to approach the situation systematically and ethically. One effective way to navigate through such challenges is by utilizing an ethical decision-making model. These models provide a structured framework for clinicians to assess, analyze, and resolve ethical conflicts in a thoughtful and principled manner.
One commonly used ethical decision-making model is the "Four Component Model" proposed by Rest (1983). This model consists of four components: moral sensitivity, moral judgment, moral motivation, and moral character. Let's apply this model to the scenario at hand:
1. Moral Sensitivity: Begin by recognizing the ethical dimensions of the situation. Acknowledge the potential conflicts that may arise from providing therapy to a close friend and the implications it may have on the therapeutic process.
2. Moral Judgment: Evaluate the ethical principles and guidelines that apply to this scenario. Consider principles such as beneficence, non-maleficence, respect for autonomy, and justice. Reflect on whether taking on this role as a therapist for your friend aligns with these principles.
3. Moral Motivation: Explore your intentions and motivations behind accepting or declining the request for therapy. Consider whether your decision is driven by the best interests of your friend and their spouse, or if other factors such as personal relationships or biases are influencing your choice.
4. Moral Character: Assess your personal values, integrity, and commitment to ethical practice. Reflect on how your decision in this situation aligns with your professional identity as a therapist and your dedication to upholding ethical standards.
Conclusion
In conclusion,
ethical dilemmas in clinical practice require careful consideration, ethical reflection, and adherence to professional standards. When faced with the dilemma of providing therapy to a close friend, it is crucial to approach the situation with moral sensitivity, sound judgment, ethical motivation, and strong moral character. By utilizing an ethical decision-making model like the Four Component Model, clinicians can navigate through complex ethical dilemmas with integrity, professionalism, and a commitment to ethical practice.
Remember, while it may be challenging to navigate dual relationships and maintain professional boundaries with friends or acquaintances, prioritizing the well-being and best interests of those seeking therapy should always guide your decisions as a clinician.